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Canyondweller 05-01-2008 09:42 PM

Reglan and reflux
 
I just started using something similar to Reglan from another country and I have had no burping, no gas, no reflux for over a week now. I have had such problems in the past that I have to have an endo every couple years because my esophagous is such a mess as well as gastritis and duodenitis. Reglan tightens up the LES valve and relaxes the valve that goes into the stomach therefore moving the food faster thru the stomach so it doesn't just sit there and require more acid to digest the food. I asked my gastro Dr. a couple years ago about it and he said it was OK to use but I never used it with any regulairity until about 10 days ago. I would suggest that anyone having bad problems ask your Doctor about trying Reglan which is available in the US to see if it might help. I have little gas, little burping and no feeling of fullness and what's better regular bathroom trips, no contipation or diahrea. I have been beating my head against a wall for years and I am really upset that no Doctor ever suggested this when nothing else worked. All I ever got was take more Nexium or Prevacid and that didn't work. I know Reglan can have some side effects but it is most likely a trade off as it usually is.

flowergirl2day 05-01-2008 09:52 PM

Re: Reglan and reflux
 
Canyon, :)

what is the medication from another country? Just on the chance it is from this country - if you don't mind. You say it is effective, and that's what counts. I don't know if Raglan is available here. I'd have to check.
Glad to hear you've found something that seems to be working for you :). If this foreign drug meets with your doctor's approval, it must be well known. So please let us know what its name is. I know there's a generic form of Nexium available in Canada but cannot remember the name at the moment. I have not tried it. Perhaps that is what you mean?

FG

serenityls 05-02-2008 05:05 AM

Re: Reglan and reflux
 
Hi Flowergirl,

Reglan is different from Nexium. I'm not sure if you can get it in Canada but it's probable not something you should take without being under the care of a Dr. The generic name is: metoclopramide

This will be the next one I get from the Gastro Dr. For some reason, he was hesitant to prescribe it to me unless he was left with no other options. I am at that point now so we'll see at the next visit.

Kassie29 05-02-2008 11:09 AM

Re: Reglan and reflux
 
Canyon,

Are you using a PPI in conjunction with your motility drug?

Flowergirl,

I noticed you are from Canada, as am I. My doctor just precribed for me a drug called domperidone. It is similar to Reglan but has far fewer side effects. This is a drug that our friends in the U.S. don't have access to. I think it hasn't been approved there. It is also a motility drug, and is supposed to move food through the stomach faster so you have fewer digestion-related problems. The Nexium alone wasn't working really well for me anymore so I just got a prescription for the domperidone and started taking it yesterday. I'm also still taking two 20 mg Nexiums per day. I'm hoping this is the answer!

Kassie

Canyondweller 05-02-2008 03:27 PM

Re: Reglan and reflux
 
In Canada the one I take is called Motilium and it is available by prescription. In the rest of the world except the US it is available over the counter. My regular Dr. who I saw yesterday and is from India is not familiar with it but I wanted him to know i was taking it adn I am sending him the info on it just to be sure. It works the same as Reglan. My Gastro who is Indian but not from India is the one that knew of it and he said the only reason it is not in the US is that it is so cheap now after being on the market for so many years there would be no money in it to go thru the FDA approvals. It is made by a large Pharmaceutical company. I don't think anyone should take anything without discussing it with their Doctor and certainly not from something that anyone on any forum says but it is something that I would suggest you talk to you Doctor about trying. Since they give the one I am taking to Mothers nursing babies in larger quantities to increase milk supply I personally felt it must be safe but what is safe for one person is not for another so caveat emptor or however you spell it.

flowergirl2day 05-02-2008 09:53 PM

Re: Reglan and reflux
 
Kassie, :)

Are you taking this Domperidone on top of your Nexium? That's probably what I need. The pharmacist mentioned this drug to me once when I complained about the Nexium not doing the job. I was supposed to discuss it with my doctor. However, the GP does not like to change my meds too much and leaves this to the internist. I am waiting to see a gastroenterologist. This may take a while. I am hoping I'll get something stronger or more effective than the 40mg Nexium. Thank you very much for your helpful post.

serenity, :)

thank you for the generic name you've provided. I will have to look it up. I know some of you guys have tried them all with limited success.

flowergirl

flowergirl2day 05-02-2008 10:03 PM

Re: Reglan and reflux
 
Canyon, :)

thank you for that information. I've never heard of this drug and wrote the name down, along with the information Serenity and Kassie provided.
I would NEVER take any medication without checking with my doctor first. Being on a multidrug therapy is hard enough. An unauthorized addition of another medication could increase the risk of drug interactions, or the drug could be contraindicated. I am well aware of the dangers of prescription and OTC drug use. Thanks for the reminder! It is much appreciated. :)

flowergirl

Canyondweller 05-02-2008 10:20 PM

Re: Reglan and reflux
 
I haven't taken a Nexium since I started this. I took a Pepcid because I had a little heartburn before bed one night but other than that I have taken nothing. I just ate some ravioli's in a white sauce and a salad and usually I would be very uncomfortable as I normally don't digest salad well and it was a ginger dressing and I feel fine, not bloated or anything. I am taking one before my lunch and one before dinner usually but sometimes I have taken it only once. So far so good. I am really incensed that even though I asked once if I had a motillity problem and was told probably that nothing was given to me. I have got to get rid of this esophagitis as it is dangerous. Please talk to you Dr about it. this is the first time in 10 years or more I have not taken an acid reducer every day. All they did was keep raising it to where I was taking 80mg a day of Nexium and still nothing working. I have tried them all except Aciphex and that has too many side effects for most people from what I have heard. If it works it works good but for most people I know they had to quit it and besides they think the PPI's contribute to bone loss.

flowergirl2day 05-02-2008 10:36 PM

Re: Reglan and reflux
 
Canyon,

I am on another medication that contributes to bone loss in some people, so I really have to watch it. I will be careful. My doctor mentioned a possibility of motility issues - but without any tests, it's impossible to know for sure. I wonder what tests they do for the motility. I guess I wil find out eventually. Until then, I am on 40mg Nexium with Gaviscon as a back-up. I wonder if Gaviscon affects the motility in any way. I will look into it when I have some time. That should be early next week after my exam.
I guess you are lucky nothing was irreversibly damaged with the long-term use of PPIs. The possibility of a bone loss scares the heck out of me. I've had sore hips for some time now. I know it's most likely a side effect of one or more of my meds. My suspicion does not change anything. I still have to take my meds. Thank you for your advice.

flowergirl

Canyondweller 05-03-2008 11:28 AM

Re: Reglan and reflux
 
If you look it up on the internet print out the information on it to take with you when you go to Doctor so that he can see the pros and cons and drug interactions, etc. I have more than average knowledge of drugs due to some strange facility I have for remembering drug names, side effects,etc so I feel a little more sure of myself than I would expect some people to feel. I also don't take many drugs but I still want my Dr. to know what I am doing and am sending him a copy of the info on this drug just in case he feels there is some reason I shouldn't take it. Since it is over the counter in everyplace but Canada and the US and has been for about 30 years I heard I felt fairly safe trying it. My friends all think I was a pharmacist or alchemist in my last life. Can't remember what i had for dinner but can remember every drug I have ever seen a name on and seem to be able to quote chapter and verse. Been this way my whole life.

flowergirl2day 05-03-2008 11:28 PM

Re: Reglan and reflux
 
canyon,

I can identify with that. I have a good memory for certain things - botanical names and numbers for instance. Also, the medical stuff and drugs - because of my recent health issues. Basically, anything of interest to me. I just wish I had more time to spend doing research.
Thank you for your advice. Consulting a doctor (or a pharmacist - which is what I often do) is necessary to ensure any new drugs are compatible with the existing therapy.
I hope this one works for you.

flowergirl

Kassie29 05-04-2008 12:37 PM

Re: Reglan and reflux
 
Hi Flowergirl,

To answer your question, yes, I am taking the domperidone (3x per day) in addition to the Nexium (2x per day -- 20 mg each). It's only day 3 today so a little too early to tell if it's making much of a difference. My GP told me to give it a couple of weeks, at least.
I have an appointment with a gastroenterologist in June. I'm going to ask him if I can have some further tests done to try to pinpoint why I'm having all these symptoms. I can't believe it's just the small hiatial hernia causing all this!

Kassie

Canyondweller 05-04-2008 02:44 PM

Re: Reglan and reflux
 
I had immediate relief from problems with Motilium. I think (but not sure) that since it can be used on a as needed basis that you should have relief. It does say that if you are bloated you can take one which I have in past and it has pretty much taken care of it then. Now I take before my lunch and dinner. Will be anxious to hear what the Doctor says. Do you live in Canada, also? Are you taking it before you eat. I take if about a half hour before.

Hiatal Hernia's are very common and they really don't cause as many problems as they get blamed for, I hear, unless they are really large. I don't know what tests you have had but it is important to have tests to rule out anything serious.

Kassie29 05-04-2008 05:08 PM

Re: Reglan and reflux
 
Hi Canyon

Yes, I take the domperidone a 1/2 hour before I eat lunch and dinner and one before going to bed. I noticed I haven't felt "burp-y" nearly as much.
I just found out that Motilium is the trade name for domperidone so looks like we're taking the same med.
A couple of months after my problems started I insisted on having an endoscopy and colonoscopy done, as esophageal cancer and colon cancer are in my family -- lucky me :( Fortunately, both tests were fine. Only the endoscopy showed the small hiatial hernia -- 1 cm in size.
I've already seen an ENT, who didn't see anything too unusual when he examination my throat.
Next step is the GI specialist in June. It's strange to me that this started so suddenly. One day I was fine, the next was full blown symptoms. I still wonder if the doxycycline I was taking for an infection the month before somehow contributed to all this.

Kassie

Canyondweller 05-04-2008 06:05 PM

Re: Reglan and reflux
 
Antibiotics can unbalance the stomach since they destroy good and bad bacteria. You might want to try a probiotic to get some of the good stuff back into your system. Acidophalous or bifudus. I never, never had burping problems till about 6 months ago. Have always had the gas but then suddenly burping and pressure in the esophagous till I thought I would die from the pressure or explode. It would last for days. Doctor said it was from swallowing air and acid(which I know I have) I don't drink carbonated beverages the other reason. Had my bi annual endo and had esophagitis, gastritis and duodentis. He just said increase the Nexium. It would come and go so I just got sick and tired of it and pulled out the Motilium from a while back and voila what a difference. In your case if you have not had problems until the antibiotic my guess would be imbalance in bacteria. Doctors never mention this and how to correct it.


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